Individual
HENRY FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5232 EL CLARO CIR, WEST PALM BEACH, FL 33415-2773
(561) 909-7632
Mailing address
5232 EL CLARO CIR, WEST PALM BEACH, FL 33415-2773
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11013492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9416706
FL NURSING LICENSE
FL
Enumeration date
03/29/2020
Last updated
03/29/2023
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